Article

OBJECTIVE: To test whether improved functional status correlates with more
depressive symptoms after traumatic brain injury (TBI). This is based on the
concept that increasing awareness of deficits may exacerbate depression, even
while survivors are making functional improvements. PARTICIPANTS: A total of 471
individuals with TBI (72% white; 71% men; median Glasgow Coma Scale (GCS) score =
11) enrolled during acute care or inpatient rehabilitation and followed up at a
median of 6 months. MAIN MEASURE: Beck Depression Inventory-II (BDI-II), Glasgow
Outcome Scale-Extended, and Functional Status Examination (FSE). RESULTS: We
found significant Spearman rank order correlations between BDI-II scores and the
total FSE as well as all domains of the FSE. Lower functional levels correlated
with more depressive symptoms. Modeling of predictive factors, including subject
characteristics, injury related characteristics, and outcome measures, resulted
in 2 models, both containing age and GCS along with other factors. CONCLUSION:
The relation between depressive symptoms and functional outcomes is complex and a
fertile area for further research. The authors would encourage clinicians to
monitor patients for depressive symptoms to help to prevent the detrimental
impact on recovery.

Langue : ANGLAIS